The Care Quality Commission
  • Dentist
  • Dentist

Mydentist - Cornhill - Banbury

22 Cornhill, Market Place, Banbury, Oxfordshire, OX16 5NG (01295) 258400

Provided and run by:
Halldent Limited

All Inspections

28 April 2023

During an inspection looking at part of the service

We undertook a follow up focused inspection of Mydentist - Cornhill – Banbury on 28 April 2023. This inspection was carried out to review the actions taken by the registered provider to improve the quality of care and to confirm that the practice was now meeting legal requirements.

The inspection was carried out by a CQC inspector who was supported by a specialist dental advisor.

We had previously undertaken an inspection of Mydentist - Cornhill – Banbury on 13 January 2023 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We found the registered provider was not providing well-led care and was in breach of regulation 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can read our report of that inspection by selecting the 'all reports' link for Mydentist - Cornhill – Banbury on our website www.cqc.org.uk .

When 1 or more of the 5 questions are not met, we require the service to make improvements and send us an action plan.

We then inspect again after a reasonable interval, focusing on the areas where improvement was required.

As part of this inspection, we asked:

  • Is it safe?
  • Is it well-led?

Our findings were:

Are services safe?

We found this practice was providing safe care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 13 January 2023.

Are services well-led?

We found this practice was providing well-led care in accordance with the relevant regulations.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 13 January 2023.

Background

The provider is part of a dental group Mydentist, with multiple practices. This report is about Mydentist - Cornhill – Banbury.

The Cornhill Dental Centre is in Banbury and provides NHS and private dental care and treatment for adults and children.

There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice.

The practice has made reasonable adjustments to support patients with additional access requirements. These include, a wheelchair accessible toilet, hearing loop. reading aids, step free access and ground floor surgeries

The dental team of 18 includes:

7 dentists, 3 dental nurses, 1 student dental nurse, 2 dental hygienists, 1 treatment coordinator, 3 reception staff and a practice manager.

The practice has 8 treatment rooms.

During the inspection we spoke with the practice manager, area manager and a compliance officer.

We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • Monday to Thursday from 8.30am to 6.30pm
  • Friday from 9.00am to 5.00pm

13 January 2023

During a routine inspection

We carried out this announced comprehensive inspection on 13 January 2013 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

We planned the inspection to check whether the registered practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations.

The inspection was led by a Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we ask five key questions:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive?
  • Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

  • The dental practice was visibly clean.
  • The practice’s infection control procedures were not effective.
  • Staff knew how to deal with medical emergencies.
  • The provider did not operate effective systems to help them manage risk to patients and staff.
  • Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
  • Staff recruitment procedures were not operated effectively.
  • The clinicians provided patients’ care and treatment in line with current guidelines.
  • Staff provided preventive care and supported patients to ensure better oral health.
  • Staff training was not monitored effectively.
  • The practice did not have appropriate quality assurance processes to encourage learning and continuous improvement.
  • The practice did not have effective leadership and a culture of continuous improvement.

Background

The provider is part of a dental group, with multiple practices. This report is about Mydentist - Cornhill - Banbury.

Mydentist - Cornhill - Banbury is in Banbury and provides NHS and private dental care and treatment for adults and children.

There is step free access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces, including dedicated parking for disabled people, are available near the practice.

The practice has made reasonable adjustments to support patients with additional access requirements. These include:

  • A wheelchair accessible toilet;
  • Hearing loop;
  • Reading aids;
  • Step free access and
  • Ground floor surgeries

The dental team includes 7 dentists, 2 dental specialist, 2 dental nurses, 3 student dental nurses, 2 dental hygienists, 1 treatment coordinator, 2 reception staff and a practice manager.

The practice has 8 treatment rooms.

During the inspection we spoke with 2 dentist, 2 dental nurses, 2 compliance officers, the area manager and three practice managers from the providers other dental practices.

We looked at practice policies and procedures and other records about how the service is managed.

The practice is open:

  • Monday 8.30am to 6.30pm
  • Tuesday 8.30am to 6.30pm
  • Wednesday 8.30am to 6.30pm
  • Thursday 8.30am to 6.30pm
  • Friday 9.00am to 5.00pm

We identified regulations the provider was not complying with. They must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

  • Ensure persons employed in the provision of the regulated activity receive the appropriate training necessary to enable them to carry out the duties.

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed and specified information is available regarding each person employed.


Full details of the regulation/s the provider was/is not meeting are at the end of this report.

There were areas where the provider could make improvements. They should:

  • Implement protocols regarding the prescribing and recording of antibiotic medicines taking into account guidance provided by the Faculty of General Dental Practice in respect of antimicrobial prescribing.

  • Implement a system to ensure patient referrals to other dental or health care professionals are centrally monitored to ensure they are received in a timely manner and not lost.

We were told the provider became aware of the shortfalls during the two weeks prior to our visit and managers from three other practices were working to make improvements. The provider’s management team, who were present at the inspection, agreed with our findings.

Where evidence is sent that shows the relevant issues have been acted on, we have stated this in our report but we cannot say that the practice is compliant for that key question as this would not be an accurate reflection of what was found on the day of our inspection.

10/12/2018

During a routine inspection

We carried out this announced inspection on 10 December 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered provider was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a CQC inspector who was supported by a specialist dental adviser.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions form the framework for the areas we look at during the inspection.

Our findings were:

Are services safe?

We found that this practice was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this practice was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this practice was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this practice was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this practice was providing well-led care in accordance with the relevant regulations.

Background

{My}Dentist, Cornhill, Banbury is in Banbury and provides NHS and private treatment to patients of all ages.

There is level access for people who use wheelchairs and those with pushchairs. Car parking spaces, including spaces for disabled person’s blue badge holders, are available at the rear of the practice.

The dental team includes five dentists, two specialist orthodontists, seven dental nurses, two trainee dental nurses, two dental hygienists, one dental therapist one orthodontic therapist, four receptionists and a practice manager. The practice has eight treatment rooms.

The practice is owned by a company and as a condition of registration must have a person registered with the Care Quality Commission as the registered manager. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the practice is run. The registered manager at {My}Dentist is the practice manager.

On the day of our inspection we collected 102 CQC comment cards filled in by patients and obtained the views of 17 patients.

During the inspection we spoke with two dentists, one dental nurses, one receptionist and the practice manager and obtained the views of a further six staff.

We looked at practice policies and procedures and other records about how the service is managed. The practice is open Monday to Thursday from 8am to 8pm and Friday and Saturday from 8am to 5pm.

Our key findings were:

  • The practice appeared clean and well maintained.
  • The practice had infection control procedures which reflected published guidance.
  • Staff knew how to deal with emergencies. Appropriate medicines and life-saving equipment were available.
  • The practice had systems to help them manage risk.
  • The practice had suitable safeguarding processes and staff knew their responsibilities for safeguarding adults and children.
  • The practice had thorough staff recruitment procedures.
  • The clinical staff provided patients’ care and treatment in line with current guidelines.
  • Staff treated patients with dignity and respect and took care to protect their privacy and personal information.
  • The practice was providing preventive care and supporting patients to ensure better oral health.
  • The appointment system met patients’ needs.
  • The practice had effective leadership and culture of continuous improvement.
  • Staff felt involved and supported and worked well as a team.
  • The practice asked staff and patients for feedback about the services they provided.
  • The practice dealt with complaints positively and efficiently.
  • The practice had suitable information governance arrangements.

We identified areas of notable practice:

Positive oral health outreach events were carried out to reach different populations groups in the local community:

  • Staff visited a local primary school and engaged pupils in oral health related activities which included, a visit to the provider’s mobile dental bus to experience what a dental surgery looked like, how to carry out effective teeth brushing and what constituted healthy eating.

  • Staff visited a local college to teach students and staff how to recognise the signs of oral cancer. All the students and staff who attended were also screened.

  • We saw advertising for a dental day aimed at people who were at risk. For example, those who were drug and alcohol dependent and homeless people. Information seen advised people the practice would be closed during this time to provide them with a safe environment where any dental treatment required would be available on the day. For example, fillings and extractions.

This is notable practice because of the proactive approach to making dental care accessible and to improving dental health in the community.

There were areas where the provider could make improvements. They should:

  • Review the practice's current performance review systems and have an effective process established for the on-going assessment and supervision of all staff. Namely appraising orthodontic staff.